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Clinical Manager
2 months ago
We are seeking a highly skilled and experienced Clinical Manager to join our team at CenterWell Home Health. As a Clinical Manager, you will play a critical role in overseeing the delivery of high-quality patient care and ensuring the success of our home health services.
Key Responsibilities- Develop and implement clinical operations for a specific location, ensuring compliance with regulatory requirements and Company policies.
- Conduct assessments and reassessments of patients, updating care plans and interpreting patient needs to ensure effective care delivery.
- Manage the assignment of caregivers, ensuring the right staff are in place to meet patient needs.
- Oversee the delivery of care to all patients served by the location, receiving case referrals and reviewing patient information to determine home health or hospice needs.
- Instruct and guide clinicians to promote effective performance and delivery of quality home care services.
- Assist clinicians in establishing immediate and long-term therapeutic goals, setting priorities, and developing patient Plans of Care (POCs).
- Monitor cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers.
- Coordinate communication between team members, attending physicians, and caregivers to ensure the appropriateness of care and outcome planning.
- Work with the Branch Director and Company Finance Department to establish location revenue and budget goals.
- Participate in sales and marketing initiatives to promote our services.
- Supervise all clinical employees assigned to a specific location, responsible for the overall direction, coordination, and evaluation of the location.
- Handle employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/Director of Operations.
- Participate in the interviewing, hiring, training, and development of direct care clinicians, evaluating their performance relative to job goals and requirements.
- Assess staff education needs based on review of clinical documentation and feedback from Utilization Review staff, creating and conducting regular staff education as needed.
- Analyze situations, identify problems, and evaluate alternative courses of action through the utilization of Performance Improvement principles.
- Responsible for review of case manager and clinical staff documentation, including starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements.
- Responsible for QA/PI activities, working with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis.
- Competently perform patient care assignments and staff management activities.
- Act as Branch Director in their absence.
- Interpret Company standards and policies to ensure compliance with external regulatory authorities and ensure caregiver clinical documentation meets internal standards.
- Participate in performance improvement activities, maintain ongoing clinical knowledge through internal and external training programs, and provide interpretation of knowledge and direction to staff.
- Maintain relationships with referral/community sources, participate in professional organizations, and conduct care-related programs.
- Perform other related duties as assigned or requested.
- Graduate of an accredited School of Nursing.
- Current state license as a Registered Nurse.
- Proof of current CPR.
- Valid driver's license, auto insurance, and reliable transportation.
- Two years as a Registered Nurse with at least one year of management experience in a home care, hospice, or equivalent environment.
CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery, or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover, and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth-largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional, and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career.
We are an equal opportunity employer and welcome applications from diverse candidates. It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status.
